Magnuson, Arvid R
Magnuson, Arvid R is an sole proprietor health care provider with primary practice located at 444 Bruce St , Yreka CA 96097. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Magnuson, Arvid R can be contacted via phone (530) 841-6209.Contact Information
Primary practice address
444 Bruce St
Yreka CA 96097
Phone: (530) 841-6209
Fax: (530) 841-6243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | G35909 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G35909 | California |
Profile Details
| NPI number | 1750384244 |
|---|---|
| LBN Legal business name | Magnuson, Arvid R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Apr 23rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750384244 | NPPES |
| California | MEDICAID | 00G359090 | |
| California | Other | 148257300 | |
| California | Other | 220009942 |
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